Orthodontic extrusion is an effective method for
crown lengthening (5, 6).
Biologic rationale of esthetic
crown lengthening using innovative proportion gauges.
Crown lengthening involves the surgical removal of hard and soft periodontal tissues to gain supracrestal tooth length, allowing for clinical crowns and reestab- lishment of the biological width.12
Crown lengthening has been described as a procedure similar to an apically repositioned flap with ostectomy/osteoplasty.13 The lengthening procedure is indicated to provide tooth length for caries removal, restoration of the tooth with- out violating the biologic width, restoration retention and aesthetics.14
Crown lengthening to facilitate restorative treatment in the presence of incomplete passive eruption.
"Esthetic
crown lengthening is used to correct a gummy smile.
3 Severe chronic periodontitis: clinical
crown lengthening with the opening of dental spaces and many diastemata; 27 furcation exposed; 23 inclined; 26 missed.
Clinical evaluation of the suppraosseous gingivae before and after
crown lengthening. J Periodontol 2007;78: 1023-1030.
Procedures that can be performed with lasers include teeth whitenA[degrees]ing, aesthetic contouring,
crown lengthening, gingiA[degrees] val deA[degrees]pigmentation, root canal sterilisation, tooth sensitivity, implant expoA[degrees] sure, caries detection and removal, fillings and incision and drainage.
He discusses the impact of dental esthetics on quality of life; facial esthetics; the composition of an esthetic and functional dentoalveolar gingival unit or periodontal restorative interface, which takes into account the periodontal health of the bone, gingiva, interdental papillae, teeth, and biological space; treatments for gingival recession and tooth deficiencies, including implantation; and periodontal and implant treatment, such as
crown lengthening procedures and connective tissue grafts.
A 49-year-old African American woman was referred to the US Army Advanced Education Program in Periodontics, Fort Gordon, Georgia, for
crown lengthening of teeth #2-5, #8, and #13-15 prior to definitive prosthetic treatment.